Provider Demographics
NPI:1528442993
Name:TOWN OF HANCOCK VOLUNTEER AMBULANCE CORPS INC
Entity type:Organization
Organization Name:TOWN OF HANCOCK VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OBOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-637-4455
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-0535
Mailing Address - Country:US
Mailing Address - Phone:315-303-1735
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:24501 STATE HIGHWAY 97
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:NY
Practice Address - Zip Code:13783-2231
Practice Address - Country:US
Practice Address - Phone:607-637-9926
Practice Address - Fax:315-635-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY327123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01564567OtherRR MEDICARE
NY04293981Medicaid
NYA300127194Medicare PIN